Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $48.05	Facility		$30.00	$30.00	$48.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $30.00 / $30.00	Professional		$24.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $26.63 / $26.63	Professional		$26.63	$26.63	$26.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $31.57 / $31.57	Professional		$30.42	$31.57	$31.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.32 / $44.32 / $44.32	Facility		$44.32	$44.32	$44.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $51.51 / $55.16	Professional		$39.94	$51.51	$55.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $38.10 / $48.05	Facility		$30.00	$38.10	$48.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $38.10	Professional		$30.00	$30.00	$38.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $228.56 / $228.56 / $228.56	Facility		$228.56	$228.56	$228.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $52.80 / $52.80	Professional		$52.80	$52.80	$52.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $44.32 / $44.32 / $44.32	Facility		$44.32	$44.32	$44.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.86 / $25.86 / $25.89	Facility		$25.86	$25.86	$25.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $25.86 / $25.89	Professional		$25.86	$25.86	$25.89
United Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.82 / $39.96	Professional		$22.16	$22.82	$39.96